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Maine rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $181.97 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $56.23 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $131.83